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JAMA. 1970;211(2):261-265. doi: 10.1001/jama.1970.03170020025005

Posttransfusion Hepatitis After Open-Heart Operations

Incidence After the Administration of Blood From Commercial and Volunteer Donor Populations

  1. John H. Walsh, MD;
  2. Robert H. Purcell, MD;
  3. Andrew G. Morrow, MD;
  4. Robert M. Chanock, MD;
  5. Paul J. Schmidt, MD
  1. From the Blood Bank Department, Clinical Center; the Clinic of Surgery, National Heart Institute; and the Laboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, Bethesda, Md; and the National Communicable Disease Center, Atlanta.

Abstract

The incidence of icteric and anicteric hepatitis was determined prospectively in 110 patients undergoing open-heart operations in which cardiopulmonary bypass was used. Patients were supplied with blood from two commercial blood banks (82 patients), or from local volunteer donors (28 patients). Serial determinations of serum transaminase levels were obtained for six months following operation. Hepatitis developed in 51% (42) of the recipients of commercial blood, but the disease did not occur in any patient who received blood from volunteer donors. The hepatitis carrier rate for commercial blood donors was 6.3%, but, for volunteer donors, was less than 0.6%. This difference in carrier rates probably reflects differences in the donor populations.

Footnotes

  • Read in part before the American Association of Blood Banks, Washington, DC, Oct 30, 1968.

  • Reprint requests to Bldg 10A, Room 1E-33, 9000 Rockville Pike, National Institutes of Health, Bethesda, Md 20014 (Dr. Schmidt).

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